Abstract:
:In preeclampsia (PE), cytotrophoblast (CTB) invasion of the uterus and spiral arteries is often shallow. Thus, the placenta's role has been a focus. In this study, we tested the hypothesis that decidual defects are an important determinant of the placental phenotype. We isolated human endometrial stromal cells from nonpregnant donors with a previous pregnancy that was complicated by severe PE (sPE). Compared with control cells, they failed to decidualize in vitro as demonstrated by morphological criteria and the analysis of stage-specific antigens (i.e., IGFBP1, PRL). These results were bolstered by global transcriptional profiling data that showed they were transcriptionally inert. Additionally, we used laser microdissection to isolate the decidua from tissue sections of the maternal-fetal interface in sPE. Global transcriptional profiling revealed defects in gene expression. Also, decidual cells from patients with sPE, which dedifferentiated in vitro, failed to redecidualize in culture. Conditioned medium from these cells failed to support CTB invasion. To mimic aspects of the uterine environment in normal pregnancy, we added PRL and IGFBP1, which enhanced invasion. These data suggested that failed decidualization is an important contributor to down-regulated CTB invasion in sPE. Future studies will be aimed at determining whether this discovery has translational potential with regard to assessing a woman's risk of developing this pregnancy complication.
journal_name
Proc Natl Acad Sci U S Aauthors
Garrido-Gomez T,Dominguez F,Quiñonero A,Diaz-Gimeno P,Kapidzic M,Gormley M,Ona K,Padilla-Iserte P,McMaster M,Genbacev O,Perales A,Fisher SJ,Simón Cdoi
10.1073/pnas.1706546114subject
Has Abstractpub_date
2017-10-03 00:00:00pages
E8468-E8477issue
40eissn
0027-8424issn
1091-6490pii
1706546114journal_volume
114pub_type
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